Creamy Tomato Macaroni Beef
This is the kind of comfort food that makes you forget all about your fancy restaurant reservations because honestly, who needs to leave the house when you can make something this good in your own kitchen?

Picture this: tender ground beef swimming in a rich, creamy tomato sauce that’s been perfectly seasoned with Italian herbs, all wrapped around ridged elbow macaroni that catches every single drop of that gorgeous sauce.

The secret to this recipe’s success lies in building layers of flavor – first browning the beef to get those beautiful caramelized bits, then creating a proper roux with flour and aromatics that transforms ordinary ingredients into something extraordinary.

What makes this dish absolutely irresistible is how the half-and-half creates this velvety, restaurant-quality sauce that coats every piece of pasta without being heavy or overwhelming.

The ridged elbow macaroni isn’t just a random choice – those little ridges are flavor traps that hold onto the creamy tomato sauce, ensuring every bite is packed with that perfect balance of beef, tomato, and cream.

Best of all, this entire masterpiece comes together in just 30 minutes, making it the perfect solution for those nights when you want something impressive but don’t have hours to spend in the kitchen.

Ingredients
For the Beef
- 1 pound raw lean ground beef
- 2 tablespoons olive oil, divided
- Salt and pepper to taste
For the Aromatics
- ½ medium white onion, diced
- 2 cloves garlic, minced
- ½ teaspoon Italian seasoning
For the Sauce
- 2 tablespoons all-purpose flour
- 2 cups beef broth
- 12 ounces tomato basil pasta sauce
- ¾ cup half and half
For the Pasta
- 8 ounces jumbo elbow macaroni with ridges, cooked al dente
Instructions
Prepare the Beef
- 1 Heat 1 tablespoon olive oil in a large cast iron skillet over medium heat until shimmering. Add the lean ground beef and break it up into small, uniform pieces using a wooden spoon or spatula. Season generously with salt and pepper and cook until the beef turns a rich brown color, about 5-7 minutes. The key here is to let the beef develop those beautiful caramelized bits without stirring too frequently. Remove the cooked beef from the pan and set aside in a medium bowl, leaving behind any rendered fat and browned bits – these are flavor gold.
Build the Flavor Base
- 2 Add the remaining 1 tablespoon olive oil to the same skillet, keeping the heat at medium. Add the diced onions and cook until they become translucent and softened, about 3 minutes. You’ll know they’re ready when they start to become fragrant and lose their sharp bite. Add the minced garlic and Italian seasoning, stirring constantly for 30 seconds until the garlic becomes fragrant but not browned – burnt garlic will make the entire dish bitter.
Create the Roux
- 3 Sprinkle the flour over the vegetables and whisk everything together until well combined. Cook this mixture until it turns a light golden brown, about 1 minute. This step is crucial for eliminating the raw flour taste and creating the base for your creamy sauce. The mixture should smell nutty and toasted when it’s ready.
Build the Sauce
- 4 Slowly whisk in the beef broth, adding it gradually to prevent lumps from forming. Once the broth is fully incorporated, add the tomato basil pasta sauce and whisk until smooth. Bring the mixture to a boil, then reduce the heat to maintain a gentle simmer. Cook until the sauce has thickened slightly, about 6 minutes. You’ll know it’s ready when it coats the back of a spoon. Stir in the half and half until the sauce becomes beautifully creamy and unified.
Combine and Finish
- 5 Add the cooked pasta and reserved beef back to the skillet, stirring everything together until well combined and heated through. Bring the mixture to a gentle boil, then immediately turn off the heat – overcooking at this stage can cause the cream to separate. Taste and adjust seasoning with additional salt if necessary. The final dish should have a rich, creamy consistency that coats the pasta without being too thick or too thin.
Recommended Equipment and Kitchen Tools
Essential Tools (for best results)
- Large cast iron skillet or heavy-bottomed pan – The even heat distribution helps prevent hot spots and ensures proper browning of the beef while maintaining consistent sauce temperature
- Wooden spoon or silicone spatula – Perfect for breaking up ground beef without scratching your cookware and stirring the sauce without damaging the pan’s surface
- Wire whisk – Essential for creating a smooth roux and incorporating the broth without lumps
- Instant-read thermometer – Helps ensure your beef reaches the safe internal temperature of 160°F (71°C)
Helpful Upgrades
- Digital kitchen scale – For precise measurements, especially when scaling the recipe up or down for different serving sizes
- Microplane grater – Makes quick work of fresh garlic and can be used for fresh Parmesan if you want to add a finishing touch
- Large colander – Essential for properly draining the pasta to achieve that perfect al dente texture
Nice-to-Have Options
- Pasta fork or tongs – Makes it easier to test pasta doneness and serve the finished dish with professional flair
- Glass measuring cups – The clear sides make it easier to see liquid levels when measuring broth and cream
- Storage containers – This recipe makes excellent leftovers, so having quality containers extends the enjoyment
Recipe Variations and Dietary Modifications
Gluten-Free Adaptation
- Replace the 2 tablespoons all-purpose flour with 2 tablespoons rice flour or 1½ tablespoons cornstarch for thickening
- Use certified gluten-free pasta – corn-based or rice-based elbow macaroni work beautifully
- Check that your beef broth and tomato sauce are certified gluten-free, as some brands contain wheat-based thickeners
- The cooking time remains the same, but gluten-free pasta may need an extra minute to reach al dente
Dairy-Free Modifications
- Substitute the ¾ cup half and half with ¾ cup full-fat coconut milk or ¾ cup unsweetened cashew cream
- Coconut milk adds a subtle sweetness that complements the tomato sauce beautifully
- For a lighter option, use ½ cup unsweetened almond milk mixed with 2 tablespoons olive oil
Lower-Carb Version
- Replace the elbow macaroni with 2 medium zucchini, spiralized or 2 cups cauliflower florets
- Add the vegetable substitutes in the last 2-3 minutes of cooking to prevent overcooking
- This modification reduces the carb content from approximately 45g to 8g per serving
Flavor Variations
- Mediterranean Style: Add ½ cup sun-dried tomatoes and 2 tablespoons fresh basil in the final step
- Spicy Version: Include ½ teaspoon red pepper flakes with the Italian seasoning
- Mushroom Enhancement: Sauté 8 ounces sliced mushrooms with the onions for extra umami depth
Nutritional Information and Health Benefits
Key Nutritional Highlights
This hearty dish provides approximately 485 calories per serving, with a balanced macronutrient profile of 28g protein, 18g fat, and 45g carbohydrates. The lean ground beef contributes high-quality complete protein essential for muscle maintenance and satiety, while the pasta provides sustained energy from complex carbohydrates.
Health Benefits of Main Ingredients
The lean ground beef is an excellent source of iron, zinc, and B-vitamins, particularly B12 which supports nervous system function and energy metabolism. The tomato basil sauce provides lycopene, a powerful antioxidant that becomes more bioavailable when cooked and combined with the olive oil in this recipe. Garlic and onions contribute sulfur compounds that support cardiovascular health and have natural antimicrobial properties. The olive oil provides heart-healthy monounsaturated fats and helps with the absorption of fat-soluble vitamins.
Dietary Considerations
This recipe contains dairy (half and half) and gluten (flour and pasta), making it unsuitable for those with celiac disease or dairy intolerance without modifications. Each serving provides approximately 6g fiber from the pasta and vegetables, contributing to digestive health. The dish is naturally high in protein, making it suitable for those following higher-protein eating patterns.
Smart Swaps and Ingredient Substitutions
Common Substitutions:
- Ground beef → Ground turkey or ground chicken (use same amount, may need extra seasoning)
- Half and half → Heavy cream (use ½ cup for richer sauce) or whole milk (use ¾ cup, may be thinner)
- Tomato basil pasta sauce → Marinara sauce plus 1 teaspoon dried basil or crushed tomatoes with Italian seasoning
- Beef broth → Chicken broth or vegetable broth (affects flavor depth but works well)
Budget-Friendly Swaps:
- Lean ground beef → Ground beef with higher fat content (drain excess fat after browning)
- Fresh garlic → 1 teaspoon garlic powder (add with other seasonings)
- Jumbo elbow macaroni → Regular elbow macaroni or penne pasta (cooking time may vary slightly)
Pantry Emergency Substitutions:
- Italian seasoning → ½ teaspoon dried oregano plus ¼ teaspoon dried basil
- Fresh onion → 2 tablespoons onion powder (add with flour step)
- All-purpose flour → 2 tablespoons cornstarch mixed with 2 tablespoons cold water
Pro Tips for Substitutions:
- When using ground turkey, add 1 tablespoon olive oil to prevent sticking since it’s leaner than beef
- Store leftover half and half in ice cube trays for future recipes – each cube equals about 2 tablespoons

Make It Diabetes-Friendly
Carb Reduction Strategies:
- Replace 8 ounces elbow macaroni with 4 ounces whole wheat pasta plus 2 cups cauliflower florets
- Use shirataki noodles or zucchini noodles to reduce carbs from 45g to 12g per serving
- Choose no-sugar-added tomato sauce to eliminate hidden sugars
Portion & Timing Tips:
- Serve 1 cup portions instead of 1½ cups to reduce carb load
- Pair with 2 cups mixed green salad to increase fiber and volume
- Add 1 tablespoon ground flaxseed to boost fiber and healthy fats
- Estimated carbs per modified serving: 22-25g (down from 45g)
Protein Enhancement:
- Increase ground beef to 1¼ pounds to boost protein content
- Add ½ cup white beans for extra fiber and plant-based protein
- Include 2 tablespoons chopped walnuts for healthy fats that help slow carb absorption
Blood Sugar Management:
- Consume with lean protein and healthy fats to minimize glucose spikes
- Best eaten as part of a balanced meal rather than alone

Perfect Pairing Suggestions
Beverage Pairings
A medium-bodied Chianti or Sangiovese complements the tomato-based sauce beautifully, while the acidity cuts through the richness of the cream. For beer lovers, a brown ale or amber lager provides the perfect balance without overwhelming the dish’s flavors. Non-alcoholic options include sparkling water with lemon or unsweetened iced tea to cleanse the palate between bites.
Side Dish Recommendations
Garlic bread or crusty Italian bread is perfect for soaking up any remaining sauce, while a crisp Caesar salad provides a refreshing contrast to the rich, creamy pasta. Roasted broccoli or steamed green beans add color and nutrition, and their slight bitterness balances the dish’s richness. For a more substantial meal, consider roasted asparagus drizzled with lemon juice.
Complete Meal Ideas
Start with bruschetta or antipasto salad to set an Italian theme, then serve the creamy tomato macaroni beef as the main course. Finish with tiramisu or panna cotta for an elegant dinner party, or keep it casual with vanilla gelato for family meals.
Occasion Suggestions
This dish shines at family dinners, potluck gatherings, and casual entertaining. It’s perfect for weeknight meals when you want something special but don’t have hours to cook, and it’s impressive enough for Sunday dinners with extended family.
Pro Tips and Troubleshooting
Professional Techniques
Always cook your pasta 1-2 minutes less than the package directions since it will continue cooking when combined with the hot sauce. This prevents mushy pasta and ensures the perfect al dente texture. When browning the beef, resist the urge to stir constantly – let it develop those beautiful caramelized bits that add incredible depth to the final dish.
Common Mistakes to Avoid
Never add the cream to a rapidly boiling sauce, as this can cause it to separate and curdle. Always reduce the heat to low before incorporating the half and half. If your sauce does break, remove it from heat immediately and whisk in 1 tablespoon cold butter to help it come back together.
Storage and Reheating
Store leftovers in the refrigerator for up to 3 days in airtight containers. When reheating, add 2-3 tablespoons milk or broth to restore the creamy consistency, as the pasta will absorb some sauce during storage. Reheat gently over medium-low heat, stirring frequently to prevent sticking.
Make-Ahead Strategies
You can prepare the beef and sauce base up to 24 hours ahead, then add the cooked pasta and cream just before serving. This actually improves the flavors as they have time to meld together.
Recipe Scaling
This recipe doubles beautifully for larger crowds – just use a larger skillet or divide between two pans to ensure even cooking. When halving the recipe, use a smaller pan to maintain proper sauce consistency.
This creamy tomato macaroni beef proves that the best comfort food doesn’t require complicated techniques or exotic ingredients – just quality ingredients treated with respect and a little bit of culinary know-how. The combination of perfectly seasoned ground beef, rich tomato sauce, and silky cream creates a dish that’s both satisfying and sophisticated enough to serve to guests, yet simple enough to become a regular weeknight favorite.